The concurrent use of bupropion, an NDRI (norepinephrine-dopamine reuptake inhibitor), and alcohol is generally discouraged. Bupropion has been shown to lower the seizure threshold in some individuals, and the alcohol withdrawal phase—when the sedative effects of alcohol on the nervous system diminish—can lead to heightened neural excitation, increasing the risk of seizures. Abrupt cessation of alcohol while taking bupropion may further exacerbate this risk. Additionally, combining bupropion with alcohol can amplify side effects such as dizziness, drowsiness, and impaired concentration. Moreover, bupropion and alcohol have opposing mechanisms of action, which can negatively affect neurotransmitter balance, potentially worsening or triggering mood-related symptoms.in general the combination causes more harm than benefit.
Next Steps
Bupropion XL is commonly prescribed for depression and smoking cessation. In your case, it is important to consult your psychiatrist to develop a treatment plan tailored to support your overall health and well-being with minimal interaction with your habits/choices.